Maribeth Mate Abedi, NURSE PRACTITIONER
Individual provider Active NPI Gerontology Nurse Practitioner · Modesto, CA
NPI 1992330625 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1992330625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 95034986 (CA)
- Practice address
- 2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396 - Phone
- (209) 724-6000
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60466444 | WA | MD | Registered Nurse |
| 95034986 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current |
Accepting new patients |
Locations
2401 E Orangeburg Ave
Ste 330
Modesto, CA 95355
Phone (209) 383-5871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60466444 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | 95034986 | CA | Yes |
Addresses
Primary practice location
2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Mailing address
2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Phone (209) 724-6000
Other providers in Modesto, CA
- Edith Abdalla
- Anessa Abdisho
- Husam A Abdulnour
- Angela M Abe
- Britney Abe
- Angie Marie Abellana
- Daryoush Aberoumand
- Alexandra Abiar
- Abidali Professional Medical Inc
- Ability Medco Inc
All providers in Modesto, CA · Gerontology Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.